Bartol, Kevin Moore

Bartol, Kevin Moore is an sole proprietor health care provider with primary practice located at 519 South Blvd , Baraboo WI 53913-2865. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bartol, Kevin Moore can be contacted via phone (608) 356-1761.

Contact Information

Primary practice address
519 South Blvd Baraboo WI 53913-2865
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1374-012 Wisconsin

Profile Details

NPI number 1699982561
LBN Legal business name Bartol, Kevin Moore
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699982561 NPPES
Wisconsin MEDICAID 38826400

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